Healthcare Provider Details

I. General information

NPI: 1992180269
Provider Name (Legal Business Name): NATALIE CLAIRE BROWND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 DAVE WARD DR SUITE #401
CONWAY AR
72034-8686
US

IV. Provider business mailing address

2425 DAVE WARD DR SUITE #401
CONWAY AR
72034-8686
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-3824
  • Fax:
Mailing address:
  • Phone: 501-329-3824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004412
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: